425 — Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC (MS_DRG 425) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/425?code_type=MS_DRG
MLA (9th ed.)
“OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC (MS_DRG 425) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/425?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC (MS_DRG 425) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/425?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,460–$23,579 (25th–75th percentile) across 1,960 hospitals · 3,937 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 425 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the MS_DRG 425 table above — including hospitals that only publish the bundled version.
CPT 37243
— Transarterial chemoembolization of liver tumor (TACE)
Facility fee + separate professional
2,242 facilities · 505 not in the MS_DRG table
- ADENA FAYETTE MEDICAL CENTER, WASHINGTON CH • only here
- Advanced Care Hospital Of Montana, BILLINGS • only here
- ADVENTHEALTH GORDON, CALHOUN • only here
- ADVENTIST HEALTH BAKERSFIELD, BAKERSFIELD • only here
- ADVENTIST HEALTH HANFORD, HANFORD • only here
- ADVENTIST HEALTH PORTLAND, PORTLAND • only here
CPT 79445
— Yttrium-90 transarterial radioembolization of liver tumor (TARE/Y90)
Facility fee + separate professional
1,888 facilities · 334 not in the MS_DRG table
- ADENA FAYETTE MEDICAL CENTER, WASHINGTON CH • only here
- ADVENTHEALTH GORDON, CALHOUN • only here
- ADVENTIST HEALTH BAKERSFIELD, BAKERSFIELD • only here
- ADVENTIST HEALTH PORTLAND, PORTLAND • only here
- ADVENTIST HEALTH SIERRA VISTA, SAN LUIS OBISPO • only here
- ADVENTIST HEALTH TEHACHAPI VALLEY, TEHACHAPI • only here
MS-DRG 425 covers more than one procedure (Transarterial chemoembolization of liver tumor (TACE) and Yttrium-90 transarterial radioembolization of liver tumor (TARE/Y90)). The professional-fee estimate below uses the 37243 anchor; the facility figure is the published DRG either way.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$12,460
$15,709 typical
$23,579
The middle 50% of negotiated facility rates for this procedure, measured across 1,960 hospitals. The the surgeon's fee are modeled estimates added on top.
What you’ll likely be billed
| Surgeon (professional fee) Estimate national typical Medicare $482 × 1.22 commercial. | $588 |
| Inpatient hospital stay (DRG bundle) Actual inpatient bundle The hospital's negotiated inpatient MS-DRG 425 price — one bundled charge for the whole admission (operating room, room & board, recovery, imaging, implants, supplies). The surgeon's and anesthesiologist's fees below are billed separately and are NOT part of this bundle. | $15,709 |
| Likely subtotal | $16,297 |
Surgical episode (typical)
~$16,297
How each figure is sourced
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Inpatient hospital stay (DRG bundle) (actual)
- source: Hospital MRF (45 CFR 180) · published_form: MS-DRG 425
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $0.60 | — | — | 2026-03-06 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Humana Health Plan, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $1.50 | $92,057.99 | $50,631.89 | 2026-04-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $2.30 | $49,757.76 | $24,878.88 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.30 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $2.30 | $49,757.76 | $24,878.88 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $2.30 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $2.30 | $49,757.76 | $24,878.88 | 2026-03-20 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $2.30 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.30 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $2.30 | $49,757.76 | $24,878.88 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $2.30 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $3.75 | $49,757.76 | $24,878.88 | 2026-03-20 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $3.75 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $3.75 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $3.75 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $3.75 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $3.75 | $49,757.76 | $24,878.88 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $3.75 | $49,757.76 | $24,878.88 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $3.75 | $49,757.76 | $24,878.88 | 2026-03-23 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $3.75 | $49,757.76 | $24,878.88 | 2026-03-23 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | MGM RESORTS [1053] | MGM RESORT | $4.08 | $92,057.99 | $50,631.89 | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $75.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $75.00 | — | — | 2026-02-28 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $111.56 | $4,543.10 | $318.02 | 2026-01-25 | MRF ↗ |
| Tampa General Hospital InpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MOUNT CARMEL HOSPITAL InpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MOUNT CARMEL HOSPITAL InpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $253.44 | $4,543.10 | $318.02 | 2026-01-25 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | — | — | — | — | — | 2026-02-24 | MRF ↗ |
| FITZGIBBON HOSPITAL Inpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $356.74 | $10,291.29 | $8,233.03 | 2026-02-02 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Inpatient | IN MEDICAID MGD CARE 20140101 (ST. MARY) | 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) | $473.00 | — | — | 2026-01-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $38,792.37 | $27,154.66 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $38,792.37 | $27,154.66 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | KAISER MCAL | KAISER MCAL | $660.11 | $4,543.10 | $318.02 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | MEDI-CAL | MEDI-CAL | $660.11 | $4,543.10 | $318.02 | 2026-01-25 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Blue Cross Blue Shield Of Texas | BCBSDFWTraditional | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Aetna | AetnaMedicareAdv | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Blue Cross Blue Shield Of Texas | BCBSDFW | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Baylor Scott and White | BSWCOMMSMALLGROUPINDHMOPPOEOS | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | PRIME HEALTH SERVICES WC | PRIMEHEALTHSERVICESWC | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | OCCMD | OCCMD | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Medicare TX | MedicareTexas | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Aetna | AetnaWholeHealthA1 | — | — | — | 2025-01-31 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $732.80 | $4,543.10 | $318.02 | 2026-01-25 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | PremierPlus | $750.00 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | BC MCAL | BC MCAL | $778.23 | $4,543.10 | $318.02 | 2026-01-25 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $930.74 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $930.74 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $962.07 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $962.07 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $986.10 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $986.10 | — | — | 2024-12-17 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Inpatient | Multiplan | COMMPRIMARYPPO | — | — | — | 2024-10-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | — | — | — | $17,737.27 | — | 2026-02-27 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | United | OptionsPPO | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Vail Health | COMM | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | United | GlobalBenefit | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Cigna | BroadLeanBenefitPlans | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Cigna | SureFitLeanBenefitPlans | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Cigna | Connect-SBPLeanBenefitPlans | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Cigna | Connect-NSBPLeanBenefitPlans | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Anthem | PAR | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Vail Health | COMM | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Multiplan | BeechStreetCOMMPPO | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Multiplan | BeechStreetCOMMPPO | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Cigna | Connect-NSBPLeanBenefitPlans | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Prime Health | WORKERSCOMP | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Cigna | Connect-SBPLeanBenefitPlans | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Anthem | PAR | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | United | GlobalBenefit | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | United | OptionsPPO | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | TriWest Health Alliance | FED | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | TriWest Health Alliance | FED | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Cigna | SureFitLeanBenefitPlans | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Cigna | BroadLeanBenefitPlans | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Multiplan | COMMPPOPRIMARYNETWORK | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Multiplan | COMMPPOPRIMARYNETWORK | — | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Inpatient | Prime Health | WORKERSCOMP | — | — | — | 2026-03-01 | MRF ↗ |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL InpatientFacility | First Health | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL InpatientFacility | Health Management Network | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL InpatientFacility | Provider Select | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL InpatientFacility | Verity Healthnet National | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL InpatientFacility | HealthSmart | Accel PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL InpatientFacility | HealthSmart | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,178.43 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,178.43 | — | — | 2024-12-17 | MRF ↗ |
| HOLYOKE MEDICAL CENTER InpatientFacility | Senior Whole Health | Senior Whole Health | $1,184.43 | — | — | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER InpatientFacility | Senior Whole Health | Senior Whole Health | $1,184.43 | — | — | 2025-01-22 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER InpatientFacility | Tricare | Triwest | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER InpatientFacility | Tricare | Veterans Administration | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER InpatientFacility | Tricare | ChampusVA | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER InpatientFacility | First Health | All Plans | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER InpatientFacility | Humana | Veterans | — | — | — | 2026-03-18 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER InpatientFacility | Aetna | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER InpatientFacility | Triwest | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY InpatientFacility | Cigna | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER InpatientFacility | Health Partners | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY InpatientFacility | Health Partners of Kansas | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER InpatientFacility | Cigna | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY InpatientFacility | Health Choices | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY InpatientFacility | Medical Associates Health Plan | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER InpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER InpatientFacility | Cigna | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY InpatientFacility | United Healthcare | All Payer | — | — | — | 2026-03-24 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS InpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS InpatientFacility | Aetna | All Plans | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS InpatientFacility | Humana | Choicecare | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS InpatientFacility | United Healthcare | All Payer | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS InpatientFacility | Coventry | First Health PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS InpatientFacility | United Healthcare | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS InpatientFacility | Coventry | First Health | — | — | — | 2026-01-12 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $1,299.33 | $4,543.10 | $318.02 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,344.76 | $4,543.10 | $318.02 | 2026-01-25 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER InpatientFacility | Aetna | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER InpatientFacility | Corvel | Workers Comp | — | — | — | 2026-04-08 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | HealthSmart | Accel PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights InpatientFacility | Provider Select | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | National Choicecare | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | HealthSmart | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | Medicus Internatiaonal | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | Christian Brothers Services | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights InpatientFacility | Medicus Internatiaonal | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | Provider Select | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights InpatientFacility | Christian Brothers Services | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | Health Management Network | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights InpatientFacility | National Choicecare | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHILDREN'S HOSPITAL OF SAN ANTONIO InpatientFacility | First Health | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights InpatientFacility | HealthSmart | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights InpatientFacility | First Health | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights InpatientFacility | Beech Street | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Medicus Internatiaonal | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels InpatientFacility | First Health | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels InpatientFacility | Beech Street | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels InpatientFacility | HealthSmart | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels InpatientFacility | Provider Select | PPO | — | — | — | 2026-01-12 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.